A New Approach for Lip Filler Injection Using an Inverted Mercedes Benz Sign

Abstract

Summary: Lip fillers have a great impact on the facial aesthetic industry, where several techniques have been proposed for lip beautification in terms of both the results and delivering a safe injection procedure. The study aimed to report a personal experience with a new lip filler technique, via inserting a microcannula through three entry points, resembling an inverted Mercedes Benz sign. Ten female patients between 22 and 29 years of age had a lip filler treatment with a cross-linked hyaluronic acid injected using a microcannula through two entry points at both Glogau-Klein points of the upper lip and one entry point at the midline of the lower lip. The filler product was deposited in both retrograde and aliquots fashion in the superficial muscular plane. All patients reported a high degree of satisfaction with the results of the procedure, with slight swelling and bruising transiently present in some of the patients. Unlike the conventional cannula technique, this new technique offers artistry in accentuating the cupid’s bow and redrawing the lips.

Achieving Bratz Doll Look with Lip Fillers: A Prospective Observational Study on Blunt Cannula Techniques

“…These injections usually start from the vermilion border and are directed perpendicular to the path of the labial arteries. 2,9,10 Although this method can be effective in creating the desired aesthetic, it also carries a higher risk of bruising and other vascular-related complications due to the potential for arterial puncture or compression.…”

“…Previous studies have utilized microcannulas for lip enhancement. 10,[33][34][35] However, our technique differentiates itself by focusing on the superficial implementation with a finer gauge cannula tailored for the BD look. This represents a unique contribution to the repertoire of lip augmentation techniques, blending artistic vision with precise medical practice.…”

A Natural Flat Volumized Lips Filler Technique: Retrospective Analysis of 920 Patients

“…In contrast to this technique, they suggested injecting to the midline labial tubercle of the upper lip, both philtral ridges, vermillion borders, and lip margins. 15 There are also several techniques in the literature that bear a vertical and radial approach with cannula 5,6 that mainly focus on medial zone of the lip. The suggested entry points to lips in these techniques were generally defined as 5 mm 5,7 or 10 mm 9 above the vermillion borders.…”

“…1–3 Several HA injection techniques are proposed in the literature to obtain a more natural and aesthetically pleasing result. 4–10 These include “6-step procedure” by Sarnoff and colleagues, 4 “4-point” and “3-point” techniques by Sahan and colleagues 5 and Adel, 6 “no-touch” technique by Surek and colleagues, 7 “stepwise” technique by Keramidas and colleagues, 8 “French kiss” technique by Trevidic and colleagues, 9 and “bi–bi lips” technique by Stephane and colleagues. 10…”

“…Strong muscle activity is another mechanism for filler migration specifically for lips. 4,6,11,12 This migration of filler into ergotrid area results in the loss of convexity of the subnasale–Cupids bow line that leads to a concave profile (Figure 2A).…”